<!-- 患者信息 -->
<div xmlns:th="http://www.thymeleaf.org">
	<div class="box box-default">
		<div class="box-header with-border">
			<h6 class="box-title">患者信息 </h6>
		</div>
		<!-- 患者信息表单区域 -->
		<div id="patientInfoFormDiv">
			<form id="patientInfoForm" class="form-horizontal">
				<div class="box-body">
					<div class="form-group">
						<label for="patient_code" class="col-md-2 control-label">患者编号<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<input id="patient_code" class="form-control" type="text" readonly="readonly" name="patient_code" bindname="patient_code" btvd-type="required" btvd-class='btvdclass' maxlength="50" placeholder="患者编号..." />
						</div>
						<label for="patient_name" class="col-md-2 control-label">患者姓名<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<input id="patient_name" class="form-control" type="text" readonly="readonly" name="patient_name" bindname="patient_name" btvd-type="required"  btvd-class='btvdclass' maxlength="50" placeholder="患者姓名..." />
						</div>
					</div>
					<div class="form-group">
						<label for="sex" class="col-md-2 control-label">性别<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<select id="sex" name="sex" bindname="sex" disabled="true"></select>
						</div>
						<label for="age" class="col-md-2 control-label">年龄<span class="colorred">*</span>：
						</label>
						<div class="col-md-2">
							<input id="age" class="form-control" type="text" readonly="readonly" name="age" bindname="age" btvd-type="required" btvd-class='btvdclass' maxlength="50" placeholder="" />
						</div>
						<div class="col-md-2">
							<select id="ageunit" name="ageunit" bindname="ageunit" disabled="true"></select>
						</div>
					</div>
					<div class="form-group">
						<label for="idnumber" class="col-md-2 control-label">身份证号<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<input id="idnumber" class="form-control" type="text" readonly="readonly" name="idnumber" bindname="idnumber" btvd-type="required" btvd-class='btvdclass' maxlength="50" placeholder="身份证号..." />
						</div>
						<label for="weight" class="col-md-2 control-label">体重(kg)<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<input id="weight" class="form-control" type="text" readonly="readonly" name="weight" bindname="weight" maxlength="50" placeholder="体重..." />
						</div>
					</div>
					<div class="form-group">
						<label for="height" class="col-md-2 control-label">身高(cm)<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<input id="height" class="form-control" type="text" readonly="readonly" name="height" bindname="height" maxlength="50" placeholder="身高..." />
						</div>
						<label for="nation" class="col-md-2 control-label">民族<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<select id="nation" name="nation" bindname="nation" disabled="true"></select>
						</div>
					</div>
					<div class="form-group">
					    <label for="phone" class="col-md-2 control-label">联系电话<span class="colorred">*</span>：
						</label>
						<div class="col-md-4">
							<input id="phone" class="form-control" type="text" readonly="readonly" name="phone" bindname="phone" maxlength="50" placeholder="联系电话..." />
						</div>
				    </div>
				    <div class="form-group">
					    <label for="self_reported" class="col-md-2 control-label">主诉<span class="colorred">*</span>：</label>
						<div class="col-md-10">
							<textarea id="self_reported" class="form-control" rows="4" readonly="readonly" name="self_reported" bindname="self_reported"  placeholder="主诉信息 ..."></textarea>
						</div>
				    </div>
				    <div class="form-group">
					   <label for="history" class="col-md-2 control-label">病史<span class="colorred">*</span>：</label>
						<div class="col-md-10">
							<textarea id="history" class="form-control" rows="4" readonly="readonly" name="history" bindname="history"  placeholder="病史 ..."></textarea>
						</div>
				    </div>
				    <div class="form-group">
					    <label for="prediagnose" class="col-md-2 control-label">预诊断<span class="colorred">*</span>：</label>
						<div class="col-md-10">
							<textarea id="prediagnose" class="form-control" rows="4" readonly="readonly" name="prediagnose" bindname="prediagnose"  placeholder="预诊断 ..."></textarea>
						</div>
				    </div>
				</div>
			</form>
		</div>
	</div>
	<script th:if="${projectModel=='dev'}" th:src="@{/static/js/business/remote/patientInfo.js(v=${#dates.createNow().getTime()})}"></script>
	<script th:if="${projectModel=='product'}" th:src="@{/static/js/business/remote/patientInfo.js}"></script>
</div>
